Active NPI
Derek Spencer Osborne
- Pharmacist
- Hartwell, GA
National Provider Identifier
1457659856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016912
- Practice address
- 8121 Reed Creek Hwy
Hartwell, GA 30643-2501 - Phone
- (706) 376-4184
- Fax
- (706) 245-1128
- NPI assigned
- Mar 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016912 | GA | Primary |
Addresses
Primary practice location
8121 Reed Creek Hwy
Hartwell, GA 30643-2501
Mailing address
8121 Reed Creek Hwy
Hartwell, GA 30643-2501
Phone (706) 376-4184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016912 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1457659856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8121 REED CREEK HWY",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306432501",
"telephone_number": "706-376-4184",
"fax_number": "706-245-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8121 REED CREEK HWY",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306432501",
"telephone_number": "706-376-4184",
"fax_number": "706-245-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "DEREK",
"middle_name": "SPENCER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartwell, GA
- John Lee Moorhead, R.PH.
- Vincent Nick Musso Jr., CRNA
- Stephen Wayne Nichols, DC
- Gregory Nix, PA-C
- Northeast Georgia Eyecare LLC (NE GA Eyecare)
- Steven Daniel Phillips, PHARM. D.
- Quinn Physical Therapy Services LLC
- Kevin Edward Quinn, P.T.
- Reddy Urgent Care LLC (Hartwell Reddy Urgent Care)
- Reddy Urgent Care-Hartwell LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.